As of the July, 2022, release via CMS

RIO GRANDE REGIONAL HOSPITAL

CMS id: 450711
101 EAST RIDGE ROAD, MCALLEN TX 78503. County: HIDALGO
System: HCA
CBSA: McAllen-Edinburg-Mission, TX

The 320-bed, acute-care hospital had $71,538,873 in net service to patients*, with a total profit margin of 26.08087% in fiscal year 2021, the latest year available.
It spent 14.71% of its operating expenses on uncompensated care and reported $4,926,461 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	248 118	248 118	248 119.5	248 118	248 119
Total beds Median	320 162	320 162	320 162	320 162	320 163.5
FTEs Median	993.98 788.06	981.98 793.42	984.07 806.03	957.43 787.61	899.24 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	212,698,153 150,932,746	237,845,737 158,950,878	259,878,418 168,696,998	251,983,533 163,454,693	263,620,918 186,589,412
Operating expenses Median	180,593,658 149,311,209	183,424,142 156,110,414	184,946,178 164,890,568	192,167,875 166,516,854	192,082,045 180,120,888
Net income from service 2 patients (NS2P) ? Median	32,104,495 -964,173	54,421,595 -643,601.5	74,932,240 -116,254	59,815,658 -5,025,862	71,538,873 -1,284,564
NS2P margin ? Median	15.09% -0.62	22.88% -0.29	28.83% 0.18	23.74% -5.07	27.14% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for RIO GRANDE REGIONAL HOSPITAL compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	1,423,423 5,089,215	1,205,297 4,572,541	1,473,909 5,268,134	5,891,366 13,092,619	-3,766,580 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	81	113,916	589	648	682
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	280	160	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	656,323	708,827	725,973	590,537	478,736
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	54	89	87	252	421
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	766,685	382,305	747,260	5,299,929	-4,246,419
Total income ? Median	33,527,918 6,586,430	55,626,892 6,767,106	76,406,149 8,419,950	65,707,024 8,094,175	67,772,293 15,162,888
Non-operating expenses Median	0 146,289.5	8 164,857	1 89,880.5	15 106,761	17 31,473.5
Net income Median	33,527,918 6,043,842	55,626,884 5,845,112	76,406,148 7,606,259	65,707,009 7,283,041	67,772,276 14,957,241
Net margin Median	15.65836% 4.62%	23.26988% 4.42%	29.23492% 5.16%	25.48019% 5.2%	26.08087% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for RIO GRANDE REGIONAL HOSPITAL compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	40,139,630 23,241,334	41,762,195 23,709,545	44,015,163 24,248,380	37,945,280 22,858,541	32,521,902 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	40,139,630 21,577,146	41,762,195 22,041,594	44,015,163 22,722,063	37,945,280 21,570,441	32,521,902 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	8,182,061 11,160,864	7,061,060 11,987,345	7,446,379 12,926,866	5,873,090 11,884,480	5,331,334 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	8,182,061 10,918,923	7,061,060 11,706,976	7,446,379 12,615,917	5,873,090 11,458,116	5,331,334 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	2,935,152 594,888	3,329,516 595,761	3,048,516 577,894	2,571,408 542,168	1,997,874 549,667
Outlier Median	519,512 582,572	463,600 538,116	66,680 212,434	30,267 126,559	54,465 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	8,938,116 3,662,910	310,904 3,730,911	397,491 4,081,319	160,003 4,643,908	4,926,461 4,389,147
Charity care Median	24,545,781 2,654,636	26,289,575 2,940,659	28,954,143 3,380,215	26,965,165 3,488,738	25,836,777 3,233,405
Uncompensated care (UCC) Median	29,364,227 5,147,790	30,117,434 5,337,617	33,033,146 5,711,082	30,406,670 5,923,418	28,246,476 5,508,107
UCC as a % of operating expenses Median	16.26% 3.24	16.42% 3.12	17.86% 3.21	15.82% 3.3	14.71% 2.86
Total shortfall/UCC Median	38,302,343 9,489,989	30,428,338 9,424,297	33,430,637 10,120,158	30,566,673 11,171,337	33,172,937 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	67,844,770 52,142,039	67,346,082 54,485,252	68,238,679 57,395,589	67,620,904 58,830,919	68,488,101 61,722,907
Salaries as a % of operating expenses Median	37.57 36.68	36.72 36.56	36.90 36.37	35.19 35.93	35.66 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	2,951,576 1,449,244	1,209,473 1,475,986	1,330,663 1,563,078	2,738,243 1,721,954	3,194,768 2,991,828
Contract hours, direct-care Median	54,079.50 22,725	20,189.00 23,018.5	19,911.00 24,503.48	58,190.00 25,026.5	31,006.00 33,786
Contract wages, direct-care Median	54.58 64.67	59.91 64.53	66.83 65.06	47.06 68.97	103.04 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.